Design features of a guideline implementation tool designed to increase awareness of a clinical practice guide to HIV rehabilitation: A qualitative process evaluation

2018 ◽  
Vol 25 (4) ◽  
pp. 648-655
Author(s):  
Nancy M. Salbach ◽  
Patricia Solomon ◽  
Kelly K. O'Brien ◽  
Catherine Worthington ◽  
Larry Baxter ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Process Evaluation ◽  
Guideline Implementation ◽  
Design Features ◽  
Practice Guide ◽  
Qualitative Process Evaluation ◽  
Implementation Tool

scholarly journals Implementation of the Multidisciplinary Guideline on Chronic Pain in Vulnerable Nursing Home Residents to Improve Recognition and Treatment: A Qualitative Process Evaluation

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 905
Author(s):  
Lizanne E. van den Akker ◽  
Margot W. M. de Waal ◽  
Paul J. E. M. Geels ◽  
Else Poot ◽  
Wilco P. Achterberg
Keyword(s):  
Chronic Pain ◽  
Nursing Home ◽  
Guideline Implementation ◽  
Nursing Home Residents ◽  
Implementation Process ◽  
Measurement Instruments ◽  
Policy Document ◽  
Multidisciplinary Meetings ◽  
Qualitative Process Evaluation

The recognition and treatment of pain in nursing home residents presents challenges best addressed by a multidisciplinary approach. This approach is also recommended in the applicable Dutch guideline; however, translating guidelines into practical strategies is often difficult in nursing homes. Nevertheless, a better understanding of guideline implementation is key to improving the quality of care. Here we describe and qualitatively evaluate the implementation process of the multidisciplinary guideline ‘Recognition and treatment of chronic pain in vulnerable elderly’ in a Dutch nursing home. The researchers used interviews and document analyses to study the nursing home’s implementation of the guideline. The project team of the nursing home first filled out an implementation matrix to formulate goals based on preferred knowledge, attitudes, and behaviors for the defined target groups. Together with experts and organizations, pharmacotherapy audit meetings were organized, an expert pain team was appointed, a policy document and policy flowchart were prepared, and ‘anchor personnel’ were assigned to disseminate knowledge amongst professionals. Implementation was partially successful and resulted in a functioning pain team, a pain policy, the selection of preferred measurement instruments, and pain becoming a fixed topic during multidisciplinary meetings. Nevertheless, relatively few professionals were aware of the implementation process.

scholarly journals Clinical Practice Guidelines andHelicobacter pyloriInfection in Children

1999 ◽  
Vol 13 (7) ◽  
pp. 560-562 ◽  
Author(s):  
Colin Macarthur ◽  
Liisa Jaakkimainen
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Guideline Development ◽  
Guideline Implementation ◽  
Key Steps ◽  
Evidence Based Guidelines ◽  
Care Costs

The objective of this paper is to review the principles, methods and issues behind the development of clinical practice guidelines. Practice guidelines have been defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances”. The ultimate goal of guidelines is to improve patient outcomes; however, they may also be used as tools to decrease health care costs, improve medical education and enhance quality assurance. Evidence-based guidelines use explicit methods to link recommendations to the quality of the underlying research. Following development of the guideline, implementation and evaluation are key steps. The ultimate aim of guideline development is to influence physician knowledge, attitudes and behaviour.

scholarly journals 24‐hour activity for children with cerebral palsy: a clinical practice guide

2020 ◽  
Vol 63 (1) ◽  
pp. 54-59
Author(s):  
Olaf Verschuren ◽  
Raquel Y Hulst ◽  
Jeanine Voorman ◽  
Sigrid Pillen ◽  
Nicole Luitwieler ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Clinical Practice ◽  
Practice Guide ◽  
Children With Cerebral Palsy

Understanding factors influencing antibiotic prescribing behaviour in rural China: a qualitative process evaluation of a cluster randomized controlled trial

2020 ◽  
Vol 25 (2) ◽  
pp. 94-103 ◽  
Author(s):  
Xiaolin Wei ◽  
Simin Deng ◽  
Victoria Haldane ◽  
Claire Blacklock ◽  
Wei Zhang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Peer Review ◽  
Process Evaluation ◽  
Controlled Trial ◽  
Cluster Randomized Controlled Trial ◽  
Antibiotic Prescribing ◽  
Randomized Controlled ◽  
Qualitative Process Evaluation ◽  
Cluster Randomized ◽  
Tract Infections

Objectives We conducted a qualitative process evaluation embedded in a cluster randomized controlled trial in rural Guangxi China, which successfully reduced antibiotic use for children upper respiratory tract infections. This study aims to report on the factors that influenced behaviour change among providers and caregivers in the intervention arm, and to explore contextual considerations which may have influenced trial outcomes. Methods A total of 35 in-depth interviews were carried out with hospital directors, doctors, and caregivers of children. Participants were recruited from six purposively selected facilities, including two higher performing and two lower performing facilities per trial results. Interviews were conducted in Chinese and translated to English. We also observed guideline training sessions and prescription peer review meetings. Data were analysed using framework analysis. Results Intervention-arm doctors described that training sessions improved their knowledge, skills and confidence in appropriate prescribing. This was contrasted by control arm participants who did not receive training and reported less agency in reducing prescribing rates. Prescription peer review meetings were seen as an opportunity for further education, action planning and goal setting, particularly in high performing hospitals, where these meetings were led by senior doctors who were perceived to have relevant clinical experience. Caregiver participants reported that intervention educational materials were helpful but they identified information from doctors was more useful. Providers and caregivers also described contextual health system factors, including hospital competition, short consultation times, and antibiotic availability without prescription, which shaped care preferences. Conclusions This qualitative process evaluation identified a range of factors that may have influenced behaviour among providers and caregivers leading to observed changes in reducing inappropriate antibiotic prescribing in China. Future interventions to reduce antibiotic prescribing should consider system level and wider contextual factors to better understand behaviours and patient care preferences.

Sign in / Sign up

Export Citation Format

Share Document